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Permit CITY OF TIGARD ELECTRICAL PERMIT V 4 ,..4 4 ,.. PERMIT #: ELC2005 -00223 DEVELOPMENT SERVICES DATE ISSUED: 4/1/2005 4 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S133DD -17400 SITE ADDRESS: 11924 SW 128TH AVE ZONING: R -4.5 SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 5 LOT : 210 JURISDICTION: TIG Project Description: Alteration of existing 120 volt service. Job # TGO2d4. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: HOUDROGE, ALI MOHAMAD DRYER ELECTRIC INC 11924 SW 128TH AVE 9409 NE COLFAX ST TIGARD, OR 97223 PORTLAND, OR 97220 Phone: Phone: 503 - 771 - 5667 FEES Reg #: ELE 26 -1142C Description Date Amount LIC 153466 SUP 2876S [ELPRMT] ELC Permit 4/1/2005 $80.30 [TAX] 8% State Surcharge 4/1/2005 $6.42 REQUIRED ITEMS AND REPORTS Total $86,72 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: /'2 s Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 03 -30 -2005 13:59 FROM- T -933 P.035/043 F -594 ;G 15:12 FAX 50359819(30 ■,>..trz vet ;iur,.u. 33' I Fi� P mtit Application vol I 1, usi,: ()I I..1' City f T iglird - eceive2 v P Z rc.: f, ■ 1 Hal l B Ttgard OK V223 P�nReview -- any: 503.63 9•s 17I Fax: $i) 59$.1960 A •: ' „v;e,.?ji `i\ Darc18 . Other Permit: fsvection Lin): £43.fi39 4175 ; {�i ° ` ! I� grate RudylBy: _ E? SP; Page 12 far 1 ::itemet: wwa� :qt tigard.or,ua ivotlfleAMothod: —T -, t I Srippternenc111 1nformatiou ' , r j 7 I , t t , } - , y t • LI? 7 :, tl rcgt ,L �fI . . , ; ; R M M + FI! 'c• 7j ,,„,„.,,,,,,,1 .i:,... /_ "'.... . a a . ... : -• � � ∎S1,Sw'4. 114,htir_!�4u..ulkit; ' ` ].3t4J11�Yn t�i; r2 ...srava.. ,v. �. 7. : • 7 New coil trudim 0 Addition /alteration/replatcment . Please check all :ha.apply: Dcrrtolitica [] Other v = p ' irt,' do a ' Service o e 2 am con l I•iazar u location ri ,,,��� ❑S ervice over 32 "' amps rating ©But7dng o, %er 10.000 :q. fc. ::a Ii, r .... _-z.,.L'' - . .`.'! . I r `' - r : . i l ' I',I ,P; y` I d �4 , _ t i, . of 1 - aral2 family 4weilings 4 or i re !w reside�.dal 1- mod Idaimily dwelling. 11 Commercial /iltdt36tria1 II Accessory building DSystern over 600 volts nominril units n orie structure Multi - farri 115' In Master bwilde� ❑ ❑ Q ocupan t 1 a c or c g soma . d structures or stories Feeders, 400 amps or more as Ot her snufa i , I ;I I r I. ; t, �, , s E ess/lighin3-.ar, RV. pa:* I L ; ( ` i ,I' r �"` ❑Flealrh - care fawiGty ❑Oche:: , 3b no.: . Job site = i dress. A K� �W/�' _ � . — �__, -_y — �..1'/!��1. it • � — Submit 2 sets ofpluts with any of the above. + i y/State/27 v of > iicable to tem or cons. ction service. _ o • iii ra: � z abo saran ,I p P �'Y I,. I .1 1111 t iii f!'I 1,.a • ,.:.. . - aita/bltig. /apt. no.: jest nano: "° ' ' 1 AoBtnpetop j }dry• F co. Soin oss street/ ire t0 job site: Yew residential single -or multi- family dwcllinif - u n f i .t T ft �(-7 IDCIuaes attut;be 1 t� (4...„ �$ 19C0 sq, ft. or Isis 145.15 1 4_ • Lot no.: - add'I 500 ;;q. ft. or portion 33.40 I ubdivision �- ____---- Limited enorg,' i eside :itial 7 :a map/partel no - : fig/ +,- fiat 7S.O - LiYnitc 5.00 _ 2 Curdled eri ton tesiden ' 1. -r I' il.;r I-1 a : Each taanuf €c:a tiwellinR� sert^.ce ai2i ur Ycedtr I 90.90 Z I' r r �• �� ` _ Services or feedltrs Installation, alt atioa, an an,r relgcat100 • I / / L 200 mops or less , E0.301 "If/M 6 2 • ., ' 106,85 ` . i 2 01 amps to 440 amps � .:.. ._. � ..., ..._ v - '-... .i 401 amps co 600 am 11111 --� Reconnect o ti l :r _ 160 -6Ch — 2 tee, e tX �� . _/,►..� o % • O ' No.., ___1 • • • amps to 1,000 arrtp5 240.60 1 2 - IF Over 1,000 amps or volts 454.65 2 r3dtess= -- -- 6 b_85 ; _ — MI 2 - ity /State/ZIl': Temporary si.rvices p r feeders installation, alte and/or relocation — 'horse: ( ) Fax: (4• 200 amps or less i 66.85i 1 - .)weer 1Ust'a1la Baal 7.$is installation is being rnaL3e /on property that 1 own which is not 201 amps to 400 amps 100.301 2 trended for tali, 'case, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 arms to 600 amps 1:13.751 1 2 )wncr si ulr: _Date Branch eircutra - 1 , alteration, or extensipn „per panel =it !, t, ' I "' 1 I y . -...: ter^ A. Fee for brarich.cIIotut5wfth I 1 service or feeder f ee, ea ch 6.651 ;susinesst nam branch circuit _ _ __--, -, ., ...�,...^- - B. Fec for brans:, cu suits .antact nowt:: withour sarvic�: q: 3:teder fee, 46,85; 2 - - - ! each branch,. circa: it. ddress: Each add'l brancil c:;r -art 6,65; • -iry/State /ZI ?_ IVfiseellaneou:: (;:ac��ice or feeder pot itacludctl) . -- ---- -- • -- - Pump or irrigation cacle 13.401 2 • Lo ne: ( ) Fax:: ( ) Si oroct1in< t',t.r, 53.4G - 1. u Signal circuit.(a) )r 1irnitad - „ . j • . ._ tli ._ 1 - t - r II • , Vyr il; energy panel. alt,traliuii, or 1 ( 1 ■ 4 M111111111111 . -. ' I . extension, Descr.be: i Page ..uSmmes3 to: �J ` (1 - . .._ > ~ additional In::p... w ctlon over allowable in any of the above I. lf ddress: / y {• , !. • a c /•_. .- . . aeb Perinspectior. -- - { 1 62.50,, --- "--r�. I 'sty/State/ZIP: + ��; �' 1 Investigation per hour (1 hr min) 1 _ ; 62.5C 1 D l ' j J �ti w.._ t v �._. r. • I 73.7 �t + • I Irrdwsuial 1ant V lour 'hurxe! ) r — _ '� / a, p ia /1 X 1 i;�'�` rS :'I +u n;':ir , i u i1 ,` ::I `w �' y' "35 Lin.: )4 i p - Of $uprv. T.iC. � — .- ,. Subtotal � Q , • • aprv. Elecirloian signs. 6 14, required: P Isis r: •iiow (2S% o perzni: fee) !!lsss���fff -- State s! u ::hasge (8% of permit Erie) a � / ��:utt name — P "^ r_ li ce_ —_ _. TOTAL — - — � t.�d �Y kT1T FEE "� L/ '-uthorixed S . 132 tature: This permit applies; loa expires if a permit is ear obspine : dun t :0 l deye x;;e trhos bcou secepnad as complete -- int name - Date: • Fee methodology e :1 lq Tri.County 13wrding 1r,drstryiServiec 3onrd _ — • • Number o f u p icii its Per permit allowed. , .I!di,,' 1Ex PiroiAFp.dac Ilion 440.4 itrtliara2/COb4/Waa CITY OF TIGARD .- r _, "A BUILDING DIVISION PERMIT #: ELC200S -00223 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1/2005 Phone: (503) 639 -4171 //�mv>dylm�pryd � Inspection Requests (24 Hrs.): (503) 639 -4175 `1, -.. INSPECTION WORKSHEET FOR DATE: 5/18/2006 TIME: 7 :34AM PAGE: 92 SITE ADDRESS: 11924 SW 128TH AVE CLASS OF WORK: SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 5 LOT #: 210 TYPE OF USE: PROJECT NAME: COMCAST DESCRIPTION: Alteration of existing 120 volt service. Job # TGO2d4. OWNER: HOUDROGE, ALI MOHAMAD, • PHONE #: CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503-771 -5667 Inspection Request Scheduled For: Date: 6/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 007148 -02 603- 516-3125 N Corrections /Comments/ Instructions: • D 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS H FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 14-54.4\11 Date: S - OS Phone #: (503) 718-